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患者,男,51岁,住院号9090。于1981年12月18日以右上肺浸润型结核入院。痰浓缩查抗酸杆菌阳性。胸片:右上中肺野见有斑片及小结节状,边缘模糊阴影。治疗:开始给予SM0.5肌注,每日二次,J NH0.3每日一次,EB0.5每日二次,患者无不良反应。12月25日改为“短程化疗”;停用EB,改SM为1.0每日一次,肌注,同服RFP0.45一日一次,PZA1.5一日一次。第8天,患者开始出现头痛、头晕,四肢肌肉酸痛,轻度畏寒,发热(体温38.8～39.2℃)。多在服药
Patient, male, 51 years old, hospital number 9090. On December 18, 1981 to the right upper lung infiltration tuberculosis admission. Sputum concentration check acid-fast bacilli. Chest radiograph: In the upper right lung field see patchy and nodular, fuzzy edge shadow. Treatment: Start SM0.5 intramuscular injection, twice daily, J NH0.3 once daily, EB0.5 twice daily, no adverse reactions in patients. December 25 changed to “short-course chemotherapy”; disable EB, change SM to 1.0 once a day, intramuscularly, with the same service RFP0.45 once a day, PZA1.5 once a day. On the 8th day, the patient started to have headache, dizziness, sore muscles and limbs, mild chills and fever (body temperature 38.8-39.2 ° C). More medication